MAIN STREET ENDOCRINOLOGY PLLC NPI 1962012070

NPI Information

  • NPI: 1962012070
  • Provider Name: MAIN STREET ENDOCRINOLOGY, PLLC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 165 SOUTH MAIN STREET
    CAVE SPRINGS, AR
    ZIP 72718
  • Phone: (417) 825-7920

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NPI Details

MAIN STREET ENDOCRINOLOGY, PLLC is a medical specialty clinic center in Cave Springs, AR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MAIN STREET ENDOCRINOLOGY, PLLC NPI is 1962012070. The provider is registered as an organization entity type.

The provider's business location address is:

165 SOUTH MAIN STREET
CAVE SPRINGS, AR
ZIP 72718
Phone: (417) 825-7920

The provider's authorized official is Melanie Kristin Sutton .
The authorized official title is Nurse Practitioner/partner and has the following contact phone number (417) 825-7920.

The enumeration date for this NPI number is 8/4/2020 and was last updated on 8/4/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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